Regular physical activity is essential for preserving health in advancing age. However, most people are inactive in daily life. Home-based exercising is preferred to exercising at an exercise facility, but motivation for exercising at home is often lacking. Recent developments in modern technology provide opportunities to exercise independently at home with the advantages of group training or supervised exercising at an exercise facility, by means of motion sensors and a tablet or computer application providing exercises or enabling remote contact with peers or a coach. In this thesis we developed and evaluated a home-based exercise program, in which older adults performed exercises at home independently. Personally tailored exercises were provided by means of exercise videos on a tablet application. Adherence was monitored by means of the tablet application. A necklace-worn gait and posture sensor registered daily physical activity. Tailored feedback on adherence and daily physical activity was provided by the tablet application and in weekly telephone contact with a coach. An intervention in which 40 transitionally frail older adults participated for 6 months in the exercise program indicated that the most important influence for adherence and effectiveness of the program was stability of the internet connection. Experienced as well as lay tablet users were positive about the exercise program and the use of tablet application and sensor. Currently, the technology is further investigated in a home-based revalidation program for orthopedic patients.
|Translated title of the contribution||Nieuw voor oud|
|Qualification||Doctor of Philosophy|
|Place of Publication||[Groningen]|
|Publication status||Published - 2017|